Small bowel obstruction

Case contributed by Dr Andrew Ryan

Presentation

Presents with closed loop bowel obstruction

Patient Data

Age: 71
Gender: Male
Modality: Pathology

Macroscopic:

  • a segment of small bowel 540 mm in length and up to 45 mm in diameter
  • widespread congestion of small bowel and mesentery
  • dilatation and wall thinning 
  • two localised segmental constrictions approximately 30 mm and 140 mm from one margin
  • mucosal congestion and attenuation
  • there is localised viable mucosa at the margin in the opened photograph.
  • there is no evidence of perforation 
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Case Information

rID: 16313
Case created: 10th Jan 2012
Last edited: 27th Sep 2015
Inclusion in quiz mode: Excluded

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